Laserfiche WebLink
� <br />`� <br />ELE <br />RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />/�O D� 2 / .� QVP t.�/ - <br />vwnei M8i1 Addre55 <br />City Slate/Zip Phone <br />Tenant <br />Electrical Contractor <br />Mail AdCress <br />Meil Address <br />�IZ-o i. -k 9�� 1�,� <br />State License Number <br />1�2� (o(n.. t r� � <br />Proposed Use of �uilding <br />Description of Work to Be Done: �_� � <br />City <br />City <br />State2ip Phone <br />�- !�S -7Fi� -�lLC' <br />State/Zip Phone <br />Contract Pnce of Work <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRIC,4L WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. AFPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REa�JIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCES: IBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES A30VE THE FLOOFt. WAC 51•20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL <br />PROVIS/ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHE'R SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVlSIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCT/ON OA THE PERFORMANCE OF CONSTRUCT/ON. THAT 1 AM AUTHOHIZED BY THE <br />GWNER OF THIS PROPERTY TO PERFORM 7HE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRAC i'ORS LAW 18.2� RCW AND 296200 WAC. <br />ELECAP(REV 82001) <br />� <br />6--� az <br />Dale <br />� ���¢—� � � <br />FEE <br />